| NPI | 1376009175 |
|---|---|
| Doing Business As | EASTPORT DENTAL |
| Entity Type | Organization |
| Authorized Contact | VINH HUYNH Dentist/Owner 480-526-3664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-16 |
| Last Update Date | 2019-02-17 |